Mark D Goldberg, MD, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

18592 Issued in AZ

Legal business name

MARK D GOLDBERG, MD, PC

Doing business as

Velda Rose Medical Center

Practice address

5252 E Main St
Mesa, AZ 85205-8022

Phone

(480) 396-3222

Fax

(480) 396-2298

NPI assigned

Aug 15, 2007

Last updated

Sep 8, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark D Goldberg, MDNPI 1144238312

Title

Medical Directr

Phone

(480) 396-3222

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Velda Rose Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Daniel Goldberg, MD

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1144238312
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1841482601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058022",
            "telephone_number": "480-396-3222",
            "fax_number": "480-396-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058022",
            "telephone_number": "480-396-3222",
            "fax_number": "480-396-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D GOLDBERG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTR",
        "authorized_official_telephone_number": "480-396-3222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "18592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298704",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348260",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F000274",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velda Rose Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Velda Rose Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Verna Jean Marion, LCSW, LISAC, BCD
• Mariposa Medical Associates, PLLC
• Marco Mariscal
• Susan Marita
• Mark a Zitnik DC, LLC
• Mark D. Voigt, D.D.S., P.C. (Dobson Ranch Detal Care)
• Mark E. Lee,D.C.,P.C. (Lee Chiropractic)
• Mark H Olsen DPM PLLC
• Mark R. Scilley, DDS, PC
• Mark S. Hamblin, D.D.S., P.C.

• Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.